后巩膜加固联合内界膜剥除术治疗高度近视黄斑孔  

Efficacy of posterior scleral reinforcement combined with internal limiting membrane peeling for macular hole in high myopia

作　　者：李秀娟[1] 崔璨[1] 张金嵩[1] Li Xiujuan;Cui Can;Zhang Jinsong(Department of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Henan Provincial Ophthalmic Hospital, Zhengzhou 450052 , China)

机构地区：[1]郑州大学第一附属医院眼科河南省眼科医院,450052

出　　处：《中华眼外伤职业眼病杂志》2019年第3期176-179,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

基　　金：河南省自然科学基金(182300410339).

摘　　要：目的评价后巩膜加固联合玻璃体切除及内界膜剥除术治疗高度近视黄斑孔的效果。方法回顾性分析2014年1月至2016年12月高度近视黄斑孔46例(46眼)的临床资料。所有患者行后巩膜加固联合玻璃体切除及内界膜剥除术。术后随访6个月。结果最佳矫正视力(logMAR)术前为1.29±0.32,末次随访时提高至0.57±0.21,术前术后视力相比较差异有统计学意义(t=11.123,=0.006).OCT图像显示黄斑孔闭合41眼(89.13%),缩小5眼(10.87%)。随访期间,无严重的并发症发生结论后巩膜加固联合玻璃体切除及内界膜剥除术治疗高度近视黄斑孔安全有效。Objective To evaluate the efficacy of posterior scleral reinforcement combined with vitrectomy and internal limiting membrane peeling for the treatment of macular hole in high myopia. Methods Phe data of 46 eyes of 46 patients with high myopia macular hole were analyzed retrospectively. All cases underwent posterior scleral reinforcement combined with vitrectomy and internal limiting membrane peeling. The follow-up time was 6 months after surgery. Results The preoperative best corrective visual acuity(log MAR) was 1. 29 ± 0. 32. At the last follow-up, BCVA was improved to 0. 57 ± 0. 21 , the difference was statistically significant (t= 11. 123 , P = 0. 006). OCT showed that the macular hole closed in 41 eyes (89. 13%), improved in 5 eyes( 10. 87 %). No serious complication occurred during the follow-up period. Conclusion The posterior scleral reinforcement combined with vitrectomy and internal limiting membrane peeling for the treatment of high myopia macular hole is effictive.

关 键 词：近视 高度 玻璃体切除术 孔 黄斑 加固术 后巩膜 剥除术 内界膜 

分 类 号：R779.6[医药卫生—眼科]